NPI | 1831667880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-61812) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT20110896) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2022-10-07 |